Differentially diagnostic criteria for intratual and early neonatal pneumonia-Reference-Cited by-同舟云学术

Differentially diagnostic criteria for intratual and early neonatal pneumonia

Published:2022-04-29 Issue:1 Volume: Page:65-72
ISSN:0514-2415
Container-title:Health care of Tajikistan
language:
Short-container-title:jour

Author:

Mamadzhonova M. S.¹,Sharipovoy N. A.¹,Vokhidov A.²,Abidjanova N. N.¹,Nazarov E. I.³

Affiliation:

1. Avicenna Tajik state medical university

2. GA MC “Istiklol”

3. Tajik National University

Abstract

Aim. To differentiate clinical signs in intrauterine and early neonatal pneumonia.Materials and methods. The studies were carried out in the Maternity ward and the “Mother and Child” ward of the second stage of nursing of the State Institution “Istiklol” in Dushanbe. In total, a retrospective analysis of 260 newborn development records and medical records was carried out. Two groups were formed, group 1 consisted of 110 (42.3%) newborns with a confirmed diagnosis of intrauterine pneumonia, the second group - of 150 (57.6%) with early neonatal pneumonia. Statistical analysis of the material was performed using the Statistica 10.0 software package (StatSoft, USA).Results. According to the anamnesis, 45.7% of 1st group mothers had premature childbirth, while in the second group 37.3% of mothers. Among the mothers of group 1, real pregnancy was characterized (p> 0.05) by colpitis (76.9%), anemia (71.3%), threatened abortion (48.6%), chronic fetal hypoxia (57.4%), high frequency of premature rupture of amniotic fluid (34.6%), discoordination of labor (25.0%). Statistically significant (p <0.001) (40.6%) in children of the second group observed an increase in temperature (above 38°C). The majority of newborns with intrauterine pneumonia did not have the act of sucking - 74.8%, 32.2% of newborns (p <0.01) noted the absence of the act of swallowing. Dyspnea was observed in 97.7.5% of children with intrauterine pneumonia and 74.7% of children with early neonatal pneumonia, auxiliary muscles were involved in the breathing, and therefore 69.6% of newborns with intrauterine pneumonia and 76.3% with early neonatal pneumonia (p<0.05) needed respiratory support.Conclusion. The course and the type of complications of pregnancy in mothers with infected children were different. Differential diagnostic signs between intrauterine and early neonatal pneumonia were established.

Publisher

Healthcare of Tajikistan

Reference18 articles.

1. Saidmuradova R.Kh. Sepsis novorozhdennykh (vnedrenie natsionalnogo protokola) [Neonatal sepsis (implementation of a national protocol)]. Vestnik poslediplomnogo obrazovaniya v sfere zdravookhraneniya - Herald of institute of postgraduate education in health sphere, 2015, No. 3, pp. 12-17.

2. Dzhumaeva L.F. Pnevmoniya u novorozhdennykh i detey grudnogo vozrasta: etiologicheskaya struktura i kliniko-rentgenologicheskie osobennosti [Pneumonia in neonates and infants: etiological structure and clinical and radiological features]. Vestnik Akademii meditsinskikh nauk Tadzhikistana - Bulletin of the Academy of Medical Sciences of Tajikistan, 2018, No. 2, pp. 197-203.

3. Kushnareva M.V. Kompleksnoe lechenie ventilyator-assotsiirovannoy pnevmonii u novorozhdennykh detey [Complex treatment of ventilator-associated pneumonia in newborns]. Rossiyskiy Vestnik Perinatologii i Pediatrii – Russian Bulletin of Perinatology and Pediatrics, 2016, No. 61, pp. 92-99.

4. Vasilev V.V. Diagnostika i prognozirovanie nekotorykh vrozhdennykh infektsiy v sisteme «beremennaya – plod – rebenok pervogo goda zhizni [Diagnosis and prognosis of some congenital infections in the system “pregnant - fetus - child of the first year of life]. Rossiyskiy Vestnik Perinatologii i Pediatrii – Russian Bulletin of Perinatology and Pediatrics, 2013, No. 3, pp. 92-97.

5. Lobzin Yu. V. Klyuchevye aspekty problemy vrozhdennykh infektsiy [Key aspects of the problem of congenital infections]. Zhurnal infektologii - Journal of Infectology, 2014, No. 3, pp. 5-14.